Healthcare Documentation and Medical Transcription Certificate Program

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1 Review Healthcare Documentation and Medical Transcription Certificate Instructors: Sandra Cole, Kathie Henton, Jo Jurgensen, Jennifer Williams, and Stephanie Oliver

2 Introduction: The Healthcare Documentation and Medical Transcription Certificate program will prepare the student for entry-level employment as a medical transcriptionist by providing the basic knowledge and skills required to transcribe medical dictation with accuracy and clarity, meet timelines, and apply the principles of professional and ethical conduct. Section 1: Alignment of program mission and purposes with mission and purposes of NCCC. A. Current mission statement of program The Healthcare and Medical Transcription Certificate program upholds all the missions and purpose of Neosho County Community College (NCCC). The Healthcare and Medical Transcription Certificate program at NCCC has several missions: o To prepare the student to demonstrate successful competence in the outcomes established by the American Association for Medical Transcription. o To prepare students to sit for the Registered Medical Transcriptionist (RMT) Examination administered by the Association for Healthcare Documentation Integrity. o To teach students to think critically, use logic and reasoning, and solve problems. B. How the program contributes to the purposes of NCCC NCCC Purpose 1 student learning through the meeting of students needs, quality educational programs, and effective assessment processes; Students pursuing a Healthcare Documentation and Medical Transcription Certificate at NCCC are required to take all the courses listed on program sheet. Every course offered in this emphasis is assessed every semester that it is offered based on the course learning outcomes. The assessment process is adapted from the guidelines outlined for assessing courses at NCCC. NCCC Purpose 2 student success through providing personal attention, individualized advising, and the opportunity to meet personal goals; The sizes of our courses in the emphasis program are small and thus the faculty will get to know each student as an individual. Students have many opportunities to develop beneficial relationships with the faculty at NCCC. The Health Information

3 Technology faculty members are committed to helping students become life-long learners. This can be seen when faculty members help students with career and educational opportunities after graduating from NCCC and by showing them the joys of exploring Healthcare Documentation and Medical Transcription in the real world. NCCC Purpose 3 ensuring access through affordability, flexible delivery and scheduling methods, responsive student services, and safe and comprehensive facilities; These courses for the Healthcare Documentation and Medical Transcription emphasis will always be scheduled and in accordance with the course rotation schedule. This will enable our students to know what courses are offered each semester. This rotation schedule also allows other instructors the ability to advise our students of what courses are being offered. NCCC Purpose 4 responsiveness to our stakeholders through open communication, ethical management of resources, accountability, and the development of leaders; Health Information instructors at NCCC communicate to the program director, about the needs, changes, progress, and even weakness that the program is facing. All the resources available for use in the program are used accordingly and records of supplies (such as lab consumables and apparatus) are kept for accountability. NCCC Purpose 5 - meeting community needs through collaboration and innovation, lifelong learning opportunities, cultural enrichment, and The providing of an educated workforce. The division of Workforce an Outreach (HIT s) is still exploring ways of forging collaboration with local companies to offer clinical affiliations or Practicums and to offer opportunities for those students who plan on joining the work force as soon as they finish their Healthcare Documentation and Medical Transcription Certificate or want to gain some experience.

4 Section 2: Curriculum of and Outcomes Assessments

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6 1) Courses in a. ALHE 105 Medical Terminology b. ALHE 122 Intro to Pharmacology c. ALHT 135 Intro to Medical Transcription d. ALMA 125 Human Body in Health & Disease e. 135 (ALHT 135)Medical Transcription I f. 235 Medical Transcription II g. 236 Medical Transcription III h. 237 Medical Transcription IV i. 238 Medical Transcription V 2) Assessment methods for the course and their influence with program level data Courses in the Medical Transcription Certificate are assessed consistent with the specific courses taught. Most of the course assessments consisted of regular examinations. As such, program assessments results were assembled from individual course assessments. 3) outcomes and matrix (attach copies of the program outcomes and matrices for the last five years) Course Number Course Name Outcome 1 Outcome 2 Outcome 3 Outcome 4 Outcome 5 Outcome 6 Outcome 7 ALHE 105 Medical Terminology CO 1, 2, 4, 5 CO 3 ALHE 122 Intro to Pharmacology CO 1 CO 3 CO 1 CO 2, 3, 4, 5, 8 CO 6, 7, 8 ALHT 135 Introduction to Medical Trans CO 4 CO 3, 4, 5, 6 CO 3 CO 3, 7 CO 6 ALMA Human Body in Health CO 1-7 CO 2 CO 3, 4, 5, & Disease 6, 7 Medical Transcription I CO 1 CO 2 CO 3, 7 CO 4 CO 5 CO 6 Medical Transcription II Medical Transcription III Medical Transcription IV (Surgical) CO 1 CO 2 CO 3, 7 CO 4 CO 5 CO 6 CO 1 CO 2 CO 3,7 CO 4 CO 5 CO 6 CO 1, 2, Medical Transcription V (Specialty) CO 1, 2, 3, 4, 5, 6, 7

7 Course Number Course Name Outcome 1 Outcome 2 Outcome 3 Outcome 4 Outcome 5 Outcome 6 Outcome 7 ALHE 105 Medical Terminology CO 1, 2, 4, 5 CO 3 ALHE 122 Intro to Pharmacology CO 1 CO 3 CO 1 CO 2, 3, 4, 5, 8 CO 6, 7, 8 ALMA Human Body in Health CO 1-7 CO 2 CO 3, 4, 5, & Disease 6, 7 Medical Transcription I CO 1 CO 2 CO 3, 7 CO 4 CO 5 CO 6 Medical Transcription II Medical Transcription III Medical Transcription IV (Surgical) CO 1 CO 2 CO 3, 7 CO 4 CO 5 CO 6 CO 1 CO 2 CO 3,7 CO 4 CO 5 CO 6 CO 1, 2, Medical Transcription V (Specialty) CO 1, 2, 3, 4, 5, 6, 7 Outcomes Grand Totals Academi c Year CRSE OTC M # STDNTS ASSESSE D WEIGHTE D AVERAGE % GOAL S MET GOALS UNME T GOAL S MET % GOALS UNMET % % 20% % 23% % 0% % 3% Courses taught in the Medical Transcription emphasis had different set goals. ALHE course goals were 75%, ALMA course goals are set at 70%, course goals set at 80%. During the assessment period covered in this review, students were able to meet the set goal per the specified courses and therefore meeting the learning course outcomes. However, not all of the goals were met as shown by the percentages of the goals unmet.

8 4) Assessments 1) Results of assessments Course Level Analysis Course Outcome ALHE 105 ALHE NA NA NA NA NA NA Course Outcome ALMA 125 ALHT NA NA NA NA

9 Course Outcome NA NA NA NA NA 6 NA NA 0 0 NA 7 NA NA 0 0 NA Course Outcome NA NA NA NA NA NA 3 NA NA NA 0 NA 4 NA NA 5 NA NA 6 NA NA 7 NA NA

10 Course Outcome Note: Color coded region indicate no information provided or that particular outcome was not assessed or was Not Applicable. 5.) General Education Assessment Analysis: all the courses taught in the Medical Transcription Certificate Course are tied to the general education assessment outcomes. Changes made to instruction, curriculum or outcomes as a result of assessment. The recent statewide KBOR alignment meetings have resulted in the adoption of new course outcomes. 6) The Medical Transcription is a straight to work Terminal program. Five students have obtained their Medical Transcription Certificates during the years reviewed. 7) Efforts to stay current in curriculum The faculty stays current in the curriculum by participating in statewide alignment meetings competency meetings in addition to: Jo Jurgensen Jo Jurgensen attended the State convention and was actively pursuing her master s degree while she was at NCCC. Kathie Henton Kathie Henton kept current through online courses/updates and by attending the State convention. Sandra Cole kept current continuing education needed to keep her credential. Stephanie Oliver- Kept current continuing education needed to keep her credential. Jennifer Williams- Jennifer is pursuing her RHIA and master s degree.

11 Headcount Section 3: Data Enrollment and Costs 1) Each Course Headcount The graph shown below indicates the number of students enrolled in the specified courses within the Medical Transcription emphasis at the Chanute, and Online campuses. Enrollment has remained relatively low over the years and the program was relatively inactive over one year in anticipation of state alignment ALHE 105 ALHE12 2 Headcount in Courses Vs Year ALMA Totals TOTALS Year/Course and Count

12 Headcount ALHE 105 ALHE12 2 Headcount in Courses Vs Year ALHT 135 ALMA Totals TOTALS Year/Course and Count

13 Generated Hours Credit hours generated: The graph presented below shows the total generated hours for the specified courses taught in both the Chanute, Online campuses in the Medical Transcription emphasis ALHE 105 Medical Termino logy ALHE122 Intro To Pharmac ology Generated Hours Vs Course/Year ALHE 135 Intro to Medical Transcri ption ALMA 125 Human Body in Health and Disease 135 Medical Transcri ption I 235 Medical Transcri ption II 236 Medical Transcri ption III 237 Surgical Transcri ption 238 Specialty Transcri ption Totals TOTALS Year/Course and Time

14 FTE FTE ALHE 105 Medical Terminol ogy ALHE122 Intro To Pharmac ology ALHT 135 Intro to Medical Transcrip tion FTE Vs Course/Year ALMA 125 Human Body in Health and Disease 135 Medical Transcrip tion I 235 Medical Transcrip tion II 236 Medical Transcrip tion III 237 Surgical Transcrip tion 238 Specialty Transcrip tion TOTALS Year/course and FTE Totals

15 Grade distribution The following graphs show the grade distributions for the courses in the Medical Transcription emphasis.

16 Number of students Intro to Medical Transcription ALHT 135 A B C D F I W WA TOTALS Year/Grade and frequency TOTALS

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20 Headcount Withdraw numbers and percentages The data presented below indicate the percentage of students who withdrew or who were withdrawn from the specified courses. Course Withdrawals % Withdrawn ALHE % ALMA % ALHE % % ALHT % ) Enrollment by site, day/night The graph shown below indicates the number of students enrolled in courses within the Medical Transcription emphasis at the Chanute, and online campuses. There are a good number of students enrolled in the online campus Chanute - Day Headcount Vs Site-Time/Academic Year Chanute - Night Chanute - Outreach Ottawa - Day Ottawa - Night Ottawa - Outreach Web - Online TOTALS TOTALS Site-Time/Academic Year

21 Generated Hours The graph shown below indicates the number of generated hours within the Medical Transcription Certificate at the Chanute, and online campuses for both day and night Chanute - Day Generated Hours Vs Site-time/Academic Year Chanute - Night Chanute - Outreach Ottawa - Day Ottawa - Night Ottawa - Outreach Web - Online TOTALS TOTALS Site-Time/Academic Year 3) Students in major For the last five years the following 19 students indicated they are working toward a certificate in Medical Transcription. 1. Allmon, Tammy N 2. Anderson, Cheryl Ann 3. Barnhart, Christina M 4. Brennon, Waona J 5. Chaney, Deanna C 6. Compton, Arielle 7. Cox, Shirley R 8. Francis, Talitha L 9. Hartwig, Anne N 10. Jones, Hannah Elizabeth 11. Tallent, Angela R 12. Doubek, Heather R 13. Francis, Talitha L 14. Mendell, Melissa Christine

22 15. Moreno, Gina C 16. Reed, Vickie L 17. Sluder, Pamela J 18. Splechter, Brooke Nicole 19. Stanley, Etta MT Students with Medical Transcription Certificate by year 2007 MTRAN Allmon, Tammy N 2007 MTRAN Barnhart, Christina M 2007 MTRAN Chaney, Deanna C 2007 MTRAN Hartwig, Anne N 2008 MTRAN Allmon, Tammy N 2008 MTRAN Anderson, Cheryl Ann 2008 MTRAN Brennon, Waona J 2008 MTRAN Hartwig, Anne N 2009 MTRAN Allmon, Tammy N 2009 MTRAN Anderson, Cheryl Ann 2009 MTRAN Francis, Talitha L 2010 MTRAN Anderson, Cheryl Ann 2010 MTRAN Francis, Talitha L 2010 MTRAN Tallent, Angela R 2011 MTRAN Compton, Arielle 2011 MTRAN Cox, Shirley R 2011 MTRAN Jones, Hannah Elizabeth 2008 TRAN Moreno, Gina C 2008 TRAN Sluder, Pamela J 2008 TRAN Stanley, Etta M 2009 TRAN Doubek, Heather R 2009 TRAN Mendell, Melissa Christine 2009 TRAN Moreno, Gina C 2009 TRAN Reed, Vickie L 2009 TRAN Sluder, Pamela J 2009 TRAN Splechter, Brooke Nicole 2009 TRAN Stanley, Etta M 2010 TRAN Stanley, Etta M 2011 TRAN Francis, Talitha L 2011 TRAN Sluder, Pamela J Grand Count 31

23 Graduates/certificates or stated goal STUDENT CERT CODE DATE CERTIFICATE CONFERRED Emerson, Tammy J MTRAN 5/15/2009 Carson, Montana D MTRAN 5/15/2009 Price, Jeffrey A MTRAN 5/15/2010 Moreno, Gina C MTRAN 5/15/10 B. Cost information for the last five years: The budget information provided below. Note the transcription Budget 1) Yearly budget this data include cost for Part-time instructor(s) Budget Expense Budget Expense Budget Expense Budget Expense Budget Expense Support Salary , , , , , Faculty Salary (PT) , , , , , Social Security Travel , Vehicle Mileage Postage Advertisin g , , , Conferenc e Telehone Copier Lease/Ren tal Contract Services , , , , , , , Dues/Me mberships , , Instructio nal Supplies , , Office Supplies Books , , Equipmen t , Software , , , , , , , , , , , , , Budgeted Amount = $ 152, Total Expenditure = $ 107,527.19

24 2) Adjunct instructors Paid over the last five years Note: The cost of part-time instructors was calculated based on the number of credit hours * 400 for a full class of 8 or more otherwise the class was prorated according the below formula. 100% of classes are taught by part-time instructors for the review period. The Above Budgeted Amount and Total Expenditure cover all programs in the HIT (Transcription, Coding, and AAS HIT). The below is the total cost of adjunct instructors over the last five year period based on courses taught and student enrollment Adjunct Instructors Paid over the last five years: $19,195 Pro-Rate/Cr Hr Chart % 1/8 12.5% 2/8 25.0% 3/8 37.5% 4/8 50.0% 5/8 62.5% 6/8 75.0% 7/8 87.5% 3) Cost per FTE (FTE for NCCC is calculated by total credit hours generated by a course/program for an entire academic year divided by 30), please do an analysis by course and then a total for the program. The FTE graph provided in section 3 provides the FTE data for the Medical Transcription Certificate Course ALHE ALHE ALHT Totals ALMA FTE

25 Section 4: Faculty The Medical Transcription Certificate faculty during the previous five years consisted of five different part-time instructors. During this period, part-time faculty taught 100% of the Medical Transcription courses. Part-time Instructors. Part-time Instructors Jo Jurgensen Sandra Cole Stephanie Oliver Kathie Henton Jennifer Williams A. Number part-time instructors The part-time faculty during the last five years consisted of five different part-time instructors. B. Percentage of courses taught by full and part-time instructors During this review period, Part-time faculty taught 100% of the courses. Faculty Courses taught % Part-time

26 Generated Hours Generated Hrs Vs CRSE/CRD Hrs/#ENRLD/Instructor Cole, Sandra Hinton, Kathie Jurgensen, Jo Oliver, Stephanie Williams, Jennifer CRSE CRD Hrs # ENRLD GNR HRS Total Total CRSE/CRD HRS/# ENRLD/Course Instructor C. How faculty stay current in discipline See section 2 number seven. Sections 5 & 6 to be completed by the Department and the Review Committee: Section 5: SWOT A. SWOT 1) Strengths Can be taught a low cost to the institution with adjunct instructors 2) Weaknesses Low enrollment in the past 3) Opportunities Ability to give certification tests on campus 4) Threats Low pay for graduates who have this certificate only B. SWOT analysis of the Assessment Data based on the above information. Include changes made since the last program review (see last SWOT analysis). Please separated by course, program, and (where appropriate) general education levels. C. This is the first program review of the transcription program. Assessment has been difficult as the program has changed three times in the past 6 years. Future program reviews reflecting consistent data should provide the opportunity for more in-depth analysis.

27 D. 1) Strengths Recently aligned New emphasis on healthcare documentation versus straight transcription 2) Weaknesses Time of inactivity due to program director changes and preparation for alignment. No new students were started in the pipeline until the aligned courses were identified to eliminate having students in two different programs. 3) Opportunities Inclusion of voice recognition software as part of the curriculum 4) Threats Low pay for graduates who have this certificate only Section 6: Justification/Recommendations for A. Should the program be maintained, strengthened, diminished or removed and why. B. Additional recourses required needed to maintain or strengthen. Recommendations for resources if diminished or removed. C. All recommendations should be tied to outcomes assessment results.

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